J1� . _ ,. . . `- .
<br /> . .
<br /> . .. , . . _.: ,:.. ,, . ., _—
<br /> . . .
<br /> . ., . �``�""",,;..�.. . �., ,,,,,� - —
<br /> ,� . ,.
<br /> { . - . �',�',�. . �,�::�t.�>1�.�t w,r:;�•:-�-,. , ,�.�__ -
<br /> •,� aiyp:.t`f<Lh•
<br /> —�=-�� �,�t:}t� ,. , ,, , ..
<br /> •W-��.,7� q� ' e4 SfAT!O'NE/11AtKA—DErAlIiMENT OF HEALTH
<br /> • �U11[AU 0/YITAI fTAi1fTICi .. �i�'�42
<br />_ � ��•., �,{� CERTIFICATE OFDEATH � –
<br /> 7 M1?■ �OAIC W OIATH fM�+n'�WV rIM7
<br /> 5 � � bfCEPfNi•N�M[ """ �— o_ en pfP.il Female October 17� 1997
<br /> A �� Hapel —�'
<br /> ---.----------' ��nr W UN�EU 111 YEAN u�mtn�o�r �iui e a ex+u� �w�n nw Ywi
<br />-�.r .A, �c�rruio�unaem�� n�anus��.,�•ravrri ��,.� b8 c�4.os'T"wve x�e, ►we December 18� 192g __
<br />_' f�,. poniphan� Nebraekx N Nuc osa��x —J--
<br /> �� . t SOCUU6tCUnnvxuMMn HOb/Itlu �knM�'� OTNER � rMS+q�b^M `
<br />"`��` • 506-30-4936 [] E�� ❑ '""°""
<br /> . �� W iAClll' r•� N� !�'M�MM�G�M1YWN���� ('1 a OfW�50KA�
<br /> L.1 �'
<br />: . �.;',�;,�• Mary Lnnning Memorial Hospitul M urrtwure N COlM�1rO�DEAIH _
<br /> b Crtr�O�vNO�U1C TqM TN Adams
<br /> � Haetinge YM a � � M W �t��
<br />���' �C CIIY.TaWH011lOCA1qH Id SiRElT�XOHUMM�� MMrMKZIC0�1
<br />"''+�Y" " `ky°"�ce•'T`� 1°COUN1V Doniphan Box 65 68832 �«� "°❑
<br /> u: Nebrgak8 Hall �,��o ,��a�•ovw n.•rr+'"«�"""'w
<br /> � i �w o
<br /> �0 ri •N��1MM 04� r�rMMn 1�. �C[ST�rN��MN�nwv�.OM�wcl
<br /> •k� 1D"`" American "��E" �'"10""o Dallas Pfeil
<br /> � B �s couc�tax q,� cwa��'.�Me•i
<br />.,'• , _ � nwa.a�anra�w� ue Kwva�u�csewauernr Ey,,,�„Mnp� _�
<br /> u• osw�occureiar+ rd�+
<br /> _5�.. g a.a�np,�.,.�•mnc+ Domestic ,a�ocNS�,�+�
<br /> � Homemaker „ ,,,�,„�w �pa+ °"DO1°
<br /> RMDOIE USr
<br /> . ' C 16 F111XE�•NAYQ ipS7 Hazel V• Morgan
<br /> ,� � : Carl NMN Hendrickson
<br /> �N Kpry,AAN7.NAME
<br /> o • ,� W�SOFCEA3EDE�ENNV� pip1�b D811&8 Pfeil
<br /> ryM ro av+l Itp�Oh'�.w W EW�dwNeMl
<br /> � � ��b NfOfM�N1i YMNO DORE65 _••—_�`�iRfETMRf O NO.CI7VO�lOW��BT�iE NI .
<br /> y 0 � Ao iph � Nabraska 68832 ZItClMEiEMdICREU11ipPY�NI�W
<br /> .� ��� 4��uEruWOIpSro9t�ON 7�eoArt
<br /> V F 14F(1 61({N�fUn CE ^�
<br /> F � �r,,,,,, [_��.�...� oc t. 20. 1997 Cedarview�YC�e�etery 6T �e
<br />= C) 7 7w i:ftlEtF�rOULAEU�icN�vlOC�10N
<br />` w E ,,, fUNFN� � Doniphan� Nebraeka
<br />_ `�' w � �,� ngston-Sondermann F.H. ❑G""""�°°'"°"
<br /> .. W � yte iUNEMI Hd1E AOOpE59 IBT11ElT OI�R/D N0.GiY O�10'Ml eTAT[.D�1
<br /> ° L 6p1 N. Webb Rd.� Grand Island, Nebraska 68803-4050 �����,,,,,�„
<br />—. a
<br />� LL'�T IEH7EROfN.eONEC�UlEPEpUNlf0�U11E4Nqlt � 1 �
<br />�,.:� � - Q D � YMEp.tTEl'A�' r/ `? j� ���.[L 7 s•
<br /> VIIRT / �r��MM�N ON�
<br /> 1 T Wg � ��p G._. �I' t a ✓ Y'L[f7'� ' ' � I
<br />_� . �i �S �o. • car+e ' / �Y Y �'-
<br />-. ---- Z � .i l7� n � � '� !. '�c�s Y� LC.'L,_ � rrr..MV.�wu.w
<br />_ � � �.ii � —
<br /> , oue o.a�a�ca+ � �
<br /> ,+
<br /> ?� kl TO►{v M W��AMIE�IIp�CObM��
<br /> �ARiM�fEMNE WA1i1K1�A �1 � �� '��.
<br />�1j_..r._' .... ���ONIf1L�MiC0��110M .CI�M7iMta�ENM�Iq11rMW�nNrwtDWM 'fK6N1NCVMTNl�FST�MONTIM� /�,• rM �
<br /> _ ►Mi �Apw�O5s1 vN eb rN Mn
<br />_p•` i u
<br />�_.... � �R O�Tt d MAMY l�Wr nJ Qlc MOUR p NA:�r Md OE6tw�[1qW w.M1Y OCC11�E�
<br /> �:lt�`�!. •�� ❑ �� ❑ �� Y. IYinrtIMNtW 1k LOCATqM 6TIIFlTOHN�D.MO CRYd�iOMM fT11i!
<br />_- ;r._ ..�f.; � �W � �,y tM w�r�rwo� � n��" ��'
<br />�_:�.:..,�;. ��. �.� �Mo �a .. �,.��.�,�
<br />— ❑ �y patE 6qNE0 !�b Wr 1
<br /> �°-�":•�'f• Ji�b�l!W DEI1M Ab DM r��
<br />;..71:".-` ..�M:"` • Y
<br /> �
<br />�;���.;.,,.: � , � �. /D - — 7 �fff � „, .��o� ,��Y� Q...�o� �
<br /> �Y_. -T1V4.�'' � �7O O�i!Md1fD Nb O�x rii Q�e�w�lM OJGfH i �
<br /> t '+R'1NY � /D/I`� d M
<br /> z, "-'�"Lti'�5"" �r� �,/�..� `�"� 4 �� in�n►a0�rq^GM'oao'M�
<br /> .:�:z. tw o�rre�waaMrwwo��naanNa�ra�
<br /> nM e MMn�.01MmEd�WMb/MCMMINM�Mi
<br />_ - - . . �� 41A ToMMMd�^V�^7+M�M �? �� �� �j �
<br /> . CMMq 1NM0. �.... � �. •1M 1tM
<br /> . wT �p> >pe-W/aCpf1lENi0MMiE0� �
<br /> _ • . . �/OqOd�CWUSECOMt OiHFOE�iH1 JOK�lON61Ji0Nt�SSUEDON�iW�fENGONSJOE X ❑ YES
<br /> ❑ ��N � VEB �NO �
<br /> __ , y � YE0 �HO
<br />— . .� J rM��YE�ND 00�6bOi tfiEP 1�•�
<br /> l�CV1N Op COUMTY�7TONrE�1 I1M�dV�M
<br /> J�~ EP
<br /> �f` ��„ � ,�--' '�-- 727 N. Cueter. GYan� ae1�od�aN� 6�8803
<br />;� ,l./�-✓. �
<br /> . �rcasrrun
<br /> .' �...r,...
<br /> _•, .. � .
<br />� }, FOR VITAL STATISTICS USE ONLY
<br /> � • s Place.......................A..............................B................................C................................D...............................E................................ParI.II..,...................TCeneusTracl,No.
<br /> _ ............................................................................................................................
<br /> F NSC........................................................... ......................................................
<br /> � ......................................................................................
<br /> � Work........................................................................_......................................................
<br /> .
<br /> � ..................t........_.......................................................................................,..................
<br /> . .............................................................................
<br /> ........
<br /> UC..._.................. ......................................
<br /> - ...... ..................................................
<br />_ Re�ect. ...............................
<br /> .............. .....
<br /> ..................................
<br /> ........................ �.....,...w...,.........�.�.�e..
<br /> � ..
<br /> I
<br />— , i
<br /> .__i
<br /> -.:.- --.—-- - � ,
<br /> i
<br /> Y I � y,.. �1 � '� �; ,''. '
<br /> � I � h�'��'i��� �:�'��:�� �i� �t; i; . �. � , d:ll� 1. �,.. .l: .!� (, ., � , ,
<br /> , S1ate of P!�. , � �� �1���v"��� _ -- ,.-� ;
<br /> . � , .J�,Lrr.GoG�1���t�lJu)':�2�L+�� s �— � �... CG 1 . C'/ � ' ..- �,.,�Y- ' ..,..I..]ih.�
<br /> jY �7 G'L �� ` S' , i .. � �
<br /> S�p,ni.d in �i�, ,+� � '�/,/� �2%��� , , -,__.�.. +,.�..�A�-i�' ,
<br /> ; // L�ArT/j✓ �� --- - --.._J .
<br /> _ �
<br /> �
<br />
|